%0 Journal Article
%T Supine positioning for the subscapular system of flaps: A pictorial essay.
%A Eskander A
%A Kang SY
%A Ozer E
%A Agrawal A
%A Carrau R
%A Rocco JW
%A Teknos TN
%A Old MO
%J Head Neck
%V 40
%N 5
%D 05 2018
%M 29485726
%F 3.821
%R 10.1002/hed.25051
%X This pictorial essay demonstrates a modification to the positioning, prepping, and draping technique for the subscapular system of flaps allowing the patient to be placed supine and without the need for a second assistant during the harvest or closure.<BR>We performed a literature review focusing on the positioning of the patient during the harvest of the subscapular system of flaps. A supine modification harvest prepping, draping, and position is then described in pictorial essay format. The technique is made possible with the use of a Mayo stand to position the arm.<BR>A literature review demonstrates limited description of nonlateral decubitus position harvest of the scapular flap. A novel positioning technique is described in pictorial essay format to demonstrate the ease and feasibility without the need for a second assistant during the case, an important goal in the era of limited resident duty hours.